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REGcIVED EH L NUMBER <br /> SAN JOAQUIN COUNTY HLE <br /> � � <br /> JUL' 31 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> EA11(IR0NMENTALHET%Vhone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tammy Woods BUSINESS/AGENCY: NOA/Terracon <br /> ADDRESS: _909 Industrial Way CITYISTATE/ZIP: Lodi, CA 95240 <br /> PHONE(1): 209-367-3701 _ PHONE (2): FACSIMILE: 209-333-8303 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> l� CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Tammy Woods DATE 07-31-2015 <br /> Electronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS <br /> Street# Street Name City EHD USE ONLY <br /> 1. 4221 E. Mariposa Road Stockton <br /> 2- 4801 carpenter Road Stockton .- 'Un it1 <br /> 3. 4863 ICarpenter Road Stockton <br /> ,A13-nit z. <br /> 4. Unit 2H6. r <br /> n 'i } 6�1 �.YJ ll��' �. 1��11 J •, Unit3 <br /> 7. .E]Unit 4 <br /> 8. <br /> / .�SITE MITIGA45 <br /> , <br /> 9. <br /> 10. <br /> 6 C4 I)a ❑ <br /> Specific Date Range of Information Requested: From _all years to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> FRi UNDERGROUND TANK(UST)CLEANUP SITE(LOP) '` ®MEDICAL WASTE FACILITY M�301_I13 WASTE FACILITYNEHICLE <br /> M OTHER CLEANUP SITE(NON-LOP) IXI HOUSING ABATEMENT IXI WASTE TIRE <br /> IXI UNDERGROUND TANK(MONITORING/REMOVAL) FOOD FACILITY �i(')AIRY <br /> N,ABOVEGROUND TANK CHICKEN RANCH/DOG KENNEL ISI WASTEWATER TREATMENT PLANT <br /> M HAZARDOUS WASTEIHAZARDOUS MATERIALS LJ MOTELIHOTEL IN PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> *rIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES Septic and <br /> TATTOOIBODY PIERCING SRI COMPLAINTIRESPONSE RECORDS OTHER(PLEASE SPECIFY) Well Permits <br /> ad- <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM( dress of EXCLUDING HOL <br /> for f4 <br /> 4221 <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropri E.Mariposa <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Ad Only <br /> ranges will not be accepted.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 <br /> 711115 <br />